Syllabus · Historical · V4 (2023) · Gastrointestinal System
O2 · Gastrointestinal Pharmacology
O2.ii · Gastrointestinal Pharmacology
Describe the pharmacology of drugs that influence gastric fluid pH and volume.
Written examination
SAQ history
GI Pharmacology — 5-HT & Ondansetron
1 exam appearance
Classify the 5HT receptors and give examples of pharmacological agents that affect them (60% of marks). Outline the pharmacology of ondansetron (40% of marks).
45.4%
GI Pharmacology — Antiemetic Classification
2 exam appearances
Classify anti-emetic agents by describing their mechanism of action and provide examples.
52%
GI Pharmacology — Gastric pH Drugs
2 exam appearances
GI Pharmacology — Metoclopramide
1 exam appearance
Classify antiemetic drugs and give an example from each group (60% of marks). Outline the gastrointestinal effects of metoclopramide (40% of marks).
40%
GI Pharmacology — Ranitidine vs Omeprazole
1 exam appearance
GI Pharmacology — Stress Ulcer Prophylaxis
1 exam appearance
Outline the mechanism of action of drugs commonly used to prevent stress ulceration in intensive care.
60%
GI Pharmacology — Erythromycin & Emptying
2 exam appearances
(a) Describe the physiological factors that influence gastric emptying (80% of marks). (b) With respect to erythromycin, outline the following: (i) mechanism of action on gastric emptying (10% of marks). (ii) important gastrointestinal and non-gastrointestinal adverse effects (10% of marks).
32%
Describe the physiology of gastric emptying (80% of marks). Outline the gastrointestinal effects of erythromycin (20% of marks)
41%
GI Pharmacology — Vomiting & Antiemetics
1 exam appearance
Describe the neural integration of vomiting, highlighting the site and mechanism of action of antiemetics.
60%
GI Pharmacology — Vomiting & Ondansetron
1 exam appearance
Describe the neural integration of vomiting. (60% of marks) Describe the pharmacology of ondansetron. (40% of marks)
58%
Oral examination
VIVA history
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2026A · VIVA 3
Relevant examiner prompts
How does critical illness predispose to stress ulcer formation?
Why are Proton Pump Inhibitors used for prevention (of stress ulcer formation)?
What are the adverse consequences of PPI administration?
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2021B · Day 2 · VIVA 4
This viva will assess your knowledge on GIT physiology. Outline the functions of the stomach. How do proton pump inhibitors act?
Sources: objective text from the relevant CICM syllabus; historical SAQ and VIVA wording from CICM examiner reports.